The health-related quality of life and the emotional aspects of COVID-19 survivors, after Intensive Care Unit discharge, under the perspectives of lacanian-oriented psychoanalysis and the health sciences

The infections caused by the Coronavirus, commonly, are associated to the upper Respiratory trato and includes symptoms like fever, odynofagy, headache and cough. Some patients can develop infections on the lower respiratory trato. The clinical manifestation of the Coronavirus Disease 2019 (COVID-19) can present in mild, moderated or severe form, in other words, they have different gravity degrees. The COVID-19 is featured by the increased inflammatory reaction, which intends to eliminate the pathogen. However this strategy, that ordinarily protects the person avoiding infections and expunging strange substances, is responsible of several tissue damages and organic failure, as observed in COVID-19. Although the clinical conditions denouements in short term, such as hospital mortality, are extremely important, they can't evaluate how the disease and, the intensive care, effect the emotional health, physics and the welfare of the patient after hospital discharge. Reflections on health-related quality of life (H-RQL) and emotional aspects are particularly important in the critical care context, because the clinical interventions can maintain life, but results of health condition can be as worse than death. The purpose of this study, after the explanation above, was to cognize the H-RQL and the emotional aspects of COVID's-19 survivors, after Intensive Care Unit (ICU) discharge, under the perspectives of lacanian-oriented Psychoanalysis and the health science. 15 peoples participated in this study, of both sex identities, between 46 and 63 years old, which were hospitalized on ICU for COVID-19 (COVID-19-ICU), that attend patients with the highest evolution of the infection, of the General Hospital of the Medical School of Ribeirão Preto of the University of São Paulo (HC-FMRP-USP). From the research approach of mixed drawing with concomitante triangulation strategy, the information were collected using the sociodemographic guide, a clinical characterization formulary, an instrument of Medical Outcomes Study 36 - Item Short-Form Health Survey (SF-36) and semi-structured interview script, trough recorded phone calls, between the 61º and 74º day after hospital discharge, in the months of December 2020 and January 2021. It is important to emphasize that the project began after the Research Ethics Committees approvals. Noticed predominance of score below 50 points on the H-RQL appraisal of the participants in this study in the following domains: Functional Capacity, Physics Aspects, Pain and Emotional Aspects of SF-36. Besides, was possible to deepen on the emotional aspects of COVID's-19 survivals hearken how they was effected, physically and emotionally and, what was left of this experience, which continues to affect their lives. This study expected that can contributes on the multidisciplinary clinic practices of the health team.